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A !Z®P CERTIFICATE OF LIABILITY INSURANCE
<br />ATE
<br />D07/18/2017DnYVY)
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />CONTACT
<br />NAME:
<br />Marsh Risk & Insurance Services?
<br />PHONE FAX
<br />17901 Von Karman Avenue, Suite 11000
<br />A/c No Ext : A/C No):
<br />(949) 399-5800; License #04371531
<br />E-MAIL
<br />ADDRESS:
<br />Irvine, CA 92614
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A. Hartford Accident & Indemnity Co.
<br />22357
<br />CN 1 02452723-STND-GAUWP-1 6-
<br />INSURED Overland, Pacific &Cutler, Inc.]
<br />INSURER B : Hartford Fire Insurance Company
<br />--
<br />19682
<br />3750 Schaufele Avenuell
<br />INSURER C : See Additional Page
<br />Suite 150_
<br />Long Beach, CA 90808
<br />INSURER D : QBE Insurance Corporation
<br />_
<br />39217
<br />INSURER E : Hartford Casualty Insurance Company__
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: LOS-002277376.09 REVISION NUMBER: 5
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />I D
<br />SUBR
<br />VD
<br />POLICYNUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIALGENERALLIABILITY
<br />X
<br />72UUNTR7859
<br />06/01/2016
<br />08/10/2017
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE X1 OCCUR
<br />DAMAGETO ( RENTED
<br />Ea occurrence
<br />$ 300,000
<br />X
<br />MED EXP (Any one person)
<br />$ 10,000
<br />$10,000 BI&PD Deductible
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L
<br />POLICY � PRO- LOC
<br />PRODUCTS -COMP/OP AGG
<br />$ 2.000.000
<br />$
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />72UUNTR7859
<br />06/01/2016
<br />08/10/2017
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$ 1,000,000
<br />,._
<br />AUTO
<br />BODILY INJURY (Per person)
<br />$
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTY DAMAGE
<br />Per accident)
<br />$
<br />xiANY
<br />COMP $1000 X COLL $1000
<br />$
<br />X
<br />UMBRELLALIAB X
<br />OCCUR
<br />72RHUTR7849
<br />06/01/2016
<br />08/10/2017
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />AGGREGATE
<br />$ 2,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION $
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBEREXCLUE
<br />(Mandatory in NH)
<br />NIA
<br />1OWEAS9914
<br />06/01/2017 08/10/2017
<br />X PER ETH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />Professional Liability
<br />OPLO714889
<br />07/10/2017 07/10/2018
<br />Each Claim / Aggregate
<br />2,000,000
<br />Deductible
<br />50,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />RE: Property Acquisition, Relocation & Management Services Agreement. A-2015-162, A-2015-1651
<br />I
<br />T
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insured where required by written contract with respect to General Liability. This insurance is primary and
<br />non-contributory over any existing insurance and limited to liability ing out of She operations of the named insured subject to poPy t and conditions with respect to General Liability. °
<br />CERTIFICATE HOLDER _. C NCELL4fIO6 ^�
<br />City of Santa Ana-
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />P.O. Box 1988-
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 Civic Center Plaza (M-36)1
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92702
<br />AUTHORIZED REPRESENTATIVE
<br />of Marsh Risk & Insurance Services
<br />Monique Sabala
<br />©1988-2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03)
<br />The ACORD name and logo are registered marks of ACORD
<br />
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